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Related Experiment Video

Updated: Apr 17, 2026

Multimodality Diagnosis of Mesenteric Ischemia
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Published on: July 21, 2023

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Mesenteric ischemia.

Stefan Acosta1

  • 1Vascular Centre, Malmö, Skåne University Hospital, Malmö, Sweden.

Current Opinion in Critical Care
|February 18, 2015
PubMed
Summary
This summary is machine-generated.

Early diagnosis of acute mesenteric ischemia using computed tomography (CT) enables urgent intestinal revascularization. Both endovascular and open vascular therapies are effective, with endovascular approaches often preferred for elderly patients.

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Area of Science:

  • Vascular Surgery
  • Radiology
  • Gastroenterology

Background:

  • Acute mesenteric ischemia (AMI) diagnosis and treatment have advanced significantly.
  • Modern computed tomography (CT) allows for early detection of AMI.
  • Prompt intervention is crucial for improving patient outcomes.

Purpose of the Study:

  • To review current diagnostic and therapeutic strategies for acute mesenteric ischemia.
  • To highlight the role of computed tomography (CT) in early diagnosis.
  • To discuss the effectiveness of various revascularization techniques.

Main Methods:

  • Review of recent literature on diagnosis and management of AMI.
  • Focus on computed tomography (CT) imaging protocols (arterial/portal venous phases).
  • Analysis of endovascular and open surgical revascularization techniques.

Main Results:

  • CT enables early diagnosis of AMI, facilitating timely treatment.
  • Hybrid operating rooms are essential for complex revascularization procedures.
  • Endovascular recanalization and stenting are effective for superior mesenteric artery (SMA) occlusion.
  • Aspiration embolectomy, thrombolysis, and open surgery are options for embolic SMA occlusion.
  • Endovascular therapy is an option for refractory mesenteric venous thrombosis.
  • Damage-control surgery is recommended post-revascularization.

Conclusions:

  • Intestinal revascularization significantly reduces morbidity and mortality in arterial occlusive mesenteric ischemia.
  • Both endovascular and open vascular therapies are effective.
  • Endovascular techniques may be preferable for elderly and fragile patients with AMI.